| NPI | 1447663364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA M JOHNSTON Owner/Operator 979-250-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TX 51343) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2023-08-17 |